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Legislative Update
Update of ACA Legislative
Activities Regarding Medicare and Managed Care Reform
Medicare
As reported earlier, the ACA has
developed a legislative strategy that will protect chiropractic
patients in the new Medicare+Choice program, as well as increasing
the scope of practice for doctors of chiropractic in the Medicare
Part B program. This strategy includes the introduction of the
Chiropractic Patients' Freedom of Choice Act (H.R. 1046), which
would provide reimbursement for all physician services for doctors
of chiropractic, within the scope of their license, under the
Medicare program. Since its introduction on March 10, 1999, H.R.
1046 has received strong bipartisan support in the House of
Representatives -- 33 cosponsors and growing.
The second
phase of the ACA Medicare strategy includes the introduction of two
Concurrent Resolutions, H.Con.Res. 62 by Representative Cubin (R-WY)
on March 18, 1999 and S.Con.Res 32 by Senator Conrad (D-ND) on May
17, 1999. These resolutions express the sense of Congress that
treatment by means of manual manipulation of the spine to correct a
subluxation is a uniquely chiropractic service and that it is the
unequivocal intent of Congress that this service should be
guaranteed for beneficiaries in the new Medicare+Choice program.
These resolutions will support the ACA's lawsuit by expressing the
congressional intent, in legislative form, that chiropractic
services do exist in Medicare and that beneficiaries in managed care
plans should have the ability to choose treatment by a doctor of
chiropractic, as do those in Medicare Part B. The Congressional
support for these concurrent resolutions is growing -- H.Con.Res. 62
has 14 cosponsors and S.Con.Res. 32 has 4 cosponsors.
If you
have not already done so, it is imperative that you call or write
your Representative and Senators immediately and ask that they
cosponsor H.R. 1046 and H.Con.Res. 62 in the House and S.Con.Res. 32
in the Senate. For Issue Briefs and sample letters regarding these
issues, please see the Government Relations section of the ACA
website "http://www.amerchiro.org/".
Managed Care Reform
The debate in Congress
over comprehensive managed care reform legislation is not as clear
cut as it was last year. Numerous bills have been introduced by both
Republicans and Democrats, some very comprehensive and some very
narrow in scope. To complicate the matter, the issue of managed care
reform has become very partisan. In the Senate, two bills have
emerged as the front runners, S. 326 (supported by the Republican
Leadership) and S. 6 (supported by the Democratic Leadership). The
ACA is actively working on the inclusion of strong
anti-discrimination for providers language in both of these bills,
but the timing of final consideration of either bill is unclear.
Because of the possibility of a filibuster, neither bill will be
considered without a compromise from both sides.
In the
House, the Republicans have taken a two-track approach in developing
managed care reform legislation. As earlier reported, Representative
Thomas Bliley (R-VA), Chairman of the House Commerce Committee,
requested Representative Norwood (R-GA), Representative Ganske
(R-IA), and Representative Coburn (R-OK) develop a "consensus bill"
that would be used as a model for managed care reform. During this
process, the ACA has been working with proponents of the bill for
the inclusion of provisions that would be beneficial to the
chiropractic profession. It has been reported to the ACA that the
Commerce Committee will complete work on this "consensus bill" in
July. The House Education and the Workforce Committee is also
working on managed care reform legislation. This legislation is very
similar to the "so-called" patient protection bill that passed the
House last year, which the ACA strongly opposed. It has been
reported to the ACA that the Republican Leadership may use the
legislation developed by the Education and the Workforce Committee
as the basis of the final legislation that will be voted on in the
House.
Although the outcome of the managed care reform
debate in Congress is unclear, the ACA will continue to work for the
inclusion of pro-chiropractic provision in whatever legislation is
considered in either the House or Senate. The ACA will keep you
apprised of any developments and will alert you when grassroots
action is needed.
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